Sexually Transmitted Diseases (STD) Syndromic Management (AIDSCAP/FHI, 1997, 54 p.): OTHER COMPONENTS OF COMPREHENSIVE STD CASE MANAGEMENT: (introduction...)

Sexually Transmitted Diseases (STD) Syndromic Management (AIDSCAP/FHI, 1997, 54 p.)

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HOLOGRAPHIC OVERVIEW

INTRODUCTION

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HIV and STD Global Burden

Role of STD on HIV Transmission

STD SYNDROMIC MANAGEMENT

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Definition

Theoretical Foundation

Advantages and Disadvantages

Cost-Effectiveness

DESIGN OF STD FLOWCHARTS

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Common Flowcharts

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Urethral Discharge Syndrome in Men

Vaginal Discharge Syndrome in Women

Pelvic Inflammatory Disease: The Management of Lower Abdominal Pain

Genital Ulcer Disease

Validity Testing of a Flowchart: Sensitivity and Specificity

OTHER COMPONENTS OF COMPREHENSIVE STD CASE MANAGEMENT

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Partner Treatment

Health Education

Condom Distribution

Adding Strategies

Syphilis Screening and Treatment

Training

INTRODUCTION OF STD SYNDROMIC MANAGEMENT IN LAC

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Haiti

Jamaica

Brazil

Honduras

Dominican Republic

LESSONS LEARNED

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Building Consensus and Communication

Development and Implementation of STD Flowcharts

Improving Access to STD Care

Detecting Asymptomatic STDs

RECOMMENDATIONS

REFERENCES

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The syndromic approach to STD case management includes a comprehensive public health approach to patient care. In addition to diagnosis and treatment, comprehensive case management includes partner treatment, health education, and condom education, promotion and distribution. To remind health care workers of these aspects of case management, short messages could be added to the flowchart as shown in Figure 8.

Figure 8

· Counsel regarding sexual risk reduction
· Review compliance with treatment regimen
· Promote condom use
· Encourage partner notification and partner treatment.